Suwaratchai Prapaporn, Sithisarankul Pornchai, Sriratanban Jiruth, Chenvidhyamd Dhiraphol, Phonburee Wimonwan
Department of Preventive and Social Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
J Med Assoc Thai. 2008 Jan;91(1):99-103.
Develop performance indicators reflecting the quality of trauma-patient-care in the emergency room and hospitalization within the first 48 hours.
A two-round Delphi technique was conducted. A panel of 11 expert surgeons experienced in the fields of trauma care was consulted. The panel was initially asked to rate performance indicators that reflected the quality of trauma care given in the emergency department setting and hospitalization in the first 48 hours using a 5-point on visual analogue scale. The statement of indicators that was collected from the first round was analyzed and necessary changes were before resending to the same experts. Each indicator statement was considered consensus if the expert's opinion rating was 4 or 5 for more than 70% (8 out of 11 experts).
Fifty-three performance indicators were proposed in four domains of trauma care in emergency room and four domains of trauma care in hospitalization within 48 hours. Altogether 35 indicators reached consensus reflecting quality of trauma performance after two rounds. Twenty-one of these were trauma care indicators in emergency room and 14 were trauma care indicators in hospitalization within 48 hours.
Twenty-one indicators of quality of trauma care in the emergency room and 14 in the hospitalization within 48 hours have been developed. They will be used as the tool by specialist for quality evaluation in the next phase.
制定反映急诊室创伤患者护理质量以及伤后48小时内住院治疗质量的绩效指标。
采用两轮德尔菲法。咨询了一个由11名在创伤护理领域经验丰富的外科专家组成的小组。最初要求该小组使用视觉模拟量表的5分制对反映急诊科创伤护理质量以及伤后48小时内住院治疗质量的绩效指标进行评分。对第一轮收集到的指标陈述进行分析，并在重新发送给同一批专家之前进行必要的修改。如果超过70%（11名专家中的8名）的专家意见评分为4或5，则每个指标陈述被视为达成共识。
在急诊室创伤护理的四个领域以及伤后48小时内住院创伤护理的四个领域中提出了53个绩效指标。经过两轮，共有35个指标达成共识，反映了创伤护理的质量。其中21个是急诊室创伤护理指标，14个是伤后48小时内住院创伤护理指标。
已制定了21个急诊室创伤护理质量指标和14个伤后48小时内住院创伤护理质量指标。它们将在下一阶段用作专家进行质量评估的工具。
